Epididimytis

Epididimytis refers to a bacterial infection within the epididimis, a coiled tube-like structure adjacent to each testicle. The epididimis conveys the passage of sperm from the testicle to the vas deferens (another tube which conveys it to the urethra). This infection is often caused by the same bacteria (chlamydia or gonorrhea) which causes venereal disease in men. There are over 500,00 cases of epididimytis annually in the United States. Peak incidence is in 19-35 year olds. Although most often a sexually transmitted disease in younger males, older patients may contract epididimytis nonsexually. The majority (66%) of males over 40 with epididimytis have associated prostate enlargement, or some other genitourinary abnormality. These cases usually involve bacteria that are different from those seen in venereal disease.

Epididimytis is often discovered by physicians when a patient complains of a recent strain or lifting injury. There is no evidence to suggest that lifting or straining leads to the development of this infection. Common symptoms include testicular swelling and pain. Onset of pain is slow and, as previously mentioned, is associated (by the patient) with a recent injury. Fever can also be present in some cases. Swelling only involves the epididimis and not the entire testicle as seen in testicular torsion. Evaluation is by physical examination and medical history. Questionable cases occurring in young males may require a testicular scan to rule out torsion of the testicle. Treatment is with ice, rest, and antibiotics. Elevation of the scrotum (lying down) can help reduce swelling. Sexual partners should also be treated, if the patient is a younger male. Pain killers may need to be prescribed. Anti-inflammatory medications (ibuprofen) may also be helpful for pain control. Your physician can help you with this problem. Recurrent or difficult to treat cases are referred to a Urologist.

Hope that this article will provide you information about epididimytis.

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